Sandbox: table diagnosis myxoa: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC;" align=center|MRI | | style="padding: 5px 5px; background: #DCDCDC;" align=center|MRI | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=center|Cardiac myxomas appear spherical or ovoid with lobular contours, irregular in shape. | | style="padding: 5px 5px; background: #F5F5F5;" align=center|Cardiac myxomas appear spherical or ovoid with lobular contours, irregular in shape. | ||
T1: tend to be low to intermediate signal, but areas of haemorrhage may be high | |||
T2: can be variable due to heterogeneity in tumour componants; e.g calcific components > low signal; myxomatous components > high signal | |||
GE (gradient echo): may show blooming of calcific components | |||
T1 C+ (Gd): shows enhancement (important discriminator from a thrombus) demonstrates uniform heterogeneous enhancement. | |||
| style="padding: 5px 5px; background: #F5F5F5;" align=center|C | | style="padding: 5px 5px; background: #F5F5F5;" align=center|C | ||
| style="padding: 5px 5px; background: #F5F5F5;" align=center|D | | style="padding: 5px 5px; background: #F5F5F5;" align=center|D |
Revision as of 22:57, 24 November 2015
The table below summarizes the findings that differentiate Cardiac Myxoma from other conditions that cause Emboli and hemorrhage:
Imaging Technique | Features | Sensitivity | Specificity | Limitations |
---|---|---|---|---|
Echocardiogram | B | C | D | E |
MRI | Cardiac myxomas appear spherical or ovoid with lobular contours, irregular in shape.
T1: tend to be low to intermediate signal, but areas of haemorrhage may be high T2: can be variable due to heterogeneity in tumour componants; e.g calcific components > low signal; myxomatous components > high signal GE (gradient echo): may show blooming of calcific components T1 C+ (Gd): shows enhancement (important discriminator from a thrombus) demonstrates uniform heterogeneous enhancement. |
C | D | E |
CT | Intracardiac heterogeneously low attenuating mass. The attenuation is usally lower than that of myocardium, coarse dystrophic calcification is common. | C | D | E |
Angiography | B | C | D | E |
Chest x-ray | Results can be normal. Otherwise, common findings include cardiomegaly, left atrial enlargement, vascular redistribution, prominent pulmonary trunk, and intracardiac tumoral calcification(rare). | C | D | E |